To describe surgical techniques for the management of localized penile cancer concurrent with adult acquired buried penis. Penile cancer, while rare, invariably impacts quality of life as the primary surgical management ranges from local excision to total penectomy. Penile cancer has recently been linked to adult acquired buried penis (AABP) with the hypothesis that chronic inflammation of the penis contributes to risk of penile malignancy. Buried penis reconstruction is now a well-described procedure involving escutcheonectomy and split thickness skin grafting which has been shown to improve quality of life in individuals with adult acquired buried penis.
This report describes a patient with AABP requiring partial penectomy and inguinal node dissection who also underwent adult acquired buried penis repair during his procedure. A review of cases of buried penis cases was carried out and similar cases were identified.
The patient underwent reconstruction of buried penis concurrently with partial penectomy and inguinal node dissection for penile cancer control and was successfully treated without recurrence. Four other patients with squamous cell carcinoma of the penis were managed with penile preserving therapy along with buried penis reconstruction without complication.
This combination of surgical techniques strives to improve quality of life and facilitate cancer surveillance without compromising oncologic outcomes.
Urology. 2022 Oct 04 [Epub ahead of print]
Christopher Staniorski, Valentina Grajales, Kelly R Pekala, Xiao Zhu, Christian Morrill, Amir Toussi, Paul J Rusilko
Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, PA. Electronic address: ., Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, PA., Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA., University of Pittsburgh, School of Medicine, Pittsburgh, PA.